North Carolina

Barbara R. Christy

8 filings · 2015–2022
State Bar Council

Filings

2022 State Bar Council
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This entire document is a public record. STATE ETHICS COMMISSION 2022 STATEMENT OF ECONOMIC INTEREST NO-CHANGE FORM ELECTRONIC FILING This entire form must be completed to fulfill your ethics filing obligation. Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Barbara Christy Reason for Filing (Complete all that apply.) Are you a CANDIDATE for elected office? ☐ Yes ☒ No If yes, for what position are you seeking election? (Specify name of office seeking in box below.) Do you currently hold this position? ☐ Yes ☐ No State Government Job (Specify agency and position.) Board/Commission (List the complete names of all State boards on which you are serving or are being considered.) State Bar Council Judicial Officer (Specify office.) Legislator (Specify House or Senate.) AFFIRMATION I have carefully reviewed my most recently filed Statement of Economic Interest Long Form and my responses continue to be true, correct, and complete to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my No Change Form is a public record. I have read and understand the following statutes: N.C.G.S. § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and . . . subject to disciplinary action under G.S. 138A-45. N.C.G.S. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 01/20/2022 Signature Date Barbara Christy Printed Name Submit signed, original documents only. Do not fax or e-mail this form. This entire document is a public record.
2021 State Bar Council
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The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 10 STATE ETHICS COMMISSION 2021 STATEMENT OF ECONOMIC INTEREST ELECTRONIC FILING This entire form must be completed to fulfill your ethics filing obligation. Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Barbara Christy Current Employer Job Title Schell Bray PLLC Attorney (Member) Nature or Type of Business Law Firm Reason For Filing (Complete all that apply.) State Government Job (Specify agency and position.) Board/Commission (List complete names of all State boards on which you are serving or are being considered.) State Bar Council Judicial Officer (Specify office.) Legislator (Specify House or Senate.) A. Do other immediate family members reside in your household? ☒ Yes ☐ No On this form, ”immediate family” includes your spouse (unless legally separated). It also includes members of your extended family (your and your spouse’s children, grandchildren, parents, grandparents, and siblings, and the spouses of each of those persons) who reside in your household. List the full name of all adults and emancipated minors in your household. Minors are children under 18. They are emancipated by marriage, enlistment in the US military, or court order for emancipation. Full names of Adults and Emancipated Minors Relationship Employer Job Title Nature of Business Rickard L Christy Spouse Ray King Builders Inc. Contractor Residential construction contractor The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 10 B. List only the initials of all unemancipated minors in your household below. A minor is a child under 18 years old. List the full name of each minor child on the Confidential Form at the end. Initials of Unemancipated Minors Relationship Employer Job Title Nature of Business Property Interests 1. As of December 31, 2020, did you or any members of your immediate family: A. have an ownership interest in North Carolina real estate (including your residence) with a market value of $10,000 or more? ☒ Yes ☐ No Owner of Real Estate % Ownership Interest Location by City Location by County (Self plus Spouse) 100.00% Snow Camp Alamance (Self plus Spouse) 50.00% New London Montgomery B. lease or rent real estate or personal property to or from the State of North Carolina with a market value of $10,000 or more? ☐ Yes ☒ No Name of Lessor Name of Lessee (Renter) If Real Estate, Location by City & County If Personal Property, Describe 2. At any time during 2019 or 2020, did you or any members of your immediate family sell to or buy from the State of North Carolina personal property worth $10,000 or more? ☐ Yes ☒ No Name of Purchaser Name of Seller Type of Property The SEI and any attachments, excluding the Confidential Form, are public records. Page 3 of 10 Financial Interests 3. As of December 31, 2020, did you or any members of your immediate family own any of the following financial interests valued at $10,000 or more? List each company individually. A. Stock in a publicly owned company? ☐ Yes ☒ No ►Do not list interests in a widely held investment fund (including mutual funds, regulated investment companies, or pension or deferred compensation plans) if: 1. the fund is publicly traded or its assets are widely diversified; and 2. neither you nor an immediate family member are able to control the underlying assets. Owner of Interest Full Name of Company or ticker symbol B. Stock options in a company or business? ☐ Yes ☒ No Owner of Stock Option Full Name of Company (Do not use a ticker symbol) C. Interests in a non-publicly owned company or business entity? These include interests in sole proprietorships, partnerships, limited partnerships, joint ventures, limited liability companies, limited liability partnerships, and closely held corporations. ☒ Yes ☐ No - If “No,” proceed to question 4. Owner of Interest Name of Company or Business Entity Barbara Christy (Self) Schell Bray PLLC Rickard L Christy (Spouse) Ray King Builders Inc. C (1). For each company or business entity identified in question 3.C. (the “Primary Company”), please list the names of any other companies or business entities in which the Primary Company owns securities or equity interests valued at over $10,000, if known. Non-Publicly Owned Company or Business Entity (the Primary Company) Other Companies in which the Primary Company Owns Security or Equity Interests None or Not Known C (2). If you know that any entity listed in 3.C or 3.C(1) above has any material business dealings or business contracts with the State of North Carolina, or is regulated by the State, briefly describe that business activity. Name of Company or Business Entity Description of Business Activity with the State Ray King Builders Inc. Company has general contractor's license and is regulated in that respect by the state. Schell Bray PLLC Members of law firm are regulated by the North Carolina State Bar 4. As of December 31, 2020, were you or any members of your immediate family the beneficiaries of a vested trust with a value of $10,000 or more that you created, established, or controlled? Do not list assets held in blind trusts. See 2021 SEI Helpful Tips for the definition of “Vested Trust” and “Blind Trust.” https://ethics.nc.gov ☐ Yes ☒ No Name and Address of Trustee Description of the Trust Your Relationship to the Trust The SEI and any attachments, excluding the Confidential Form, are public records. Page 4 of 10 5. As of December 31, 2020, did you any members of your immediate family have liabilities of $10,000 or more, excluding the mortgage on your primary personal residence? Examples include credit card debts, auto loans, student loans, personal loans and intra-family debt. ☒ Yes ☐ No Name of Debtor Type of Creditor (commercial Bank, credit union, individual, etc.) (Self plus Spouse) Commercial Bank (Self plus Spouse) Commercial Bank 6. List each source of income (not specific amounts) of more than $5,000 received by you or any members of your immediate family during 2020. Include salary, wages, state/local government retirement income, professional fees, honoraria, interest, dividends, rental income, business income, and other types required to be reported on State and federal tax returns. Please remember to disclose your receipt of salary or wages from any governmental or private entity. Do not include income received from the following sources: ► Capital gains ► Federal government retirement ► Military retirement ► Social security income/SSDI Recipient of Income Name of Source Type of Business/Industry Type of Income Barbara Christy (Self) Schell Bray PLLC Legal Business income Rickard L Christy (Spouse) Ray King Builders Inc. Construction Salary The SEI and any attachments, excluding the Confidential Form, are public records. Page 5 of 10 Professional and Civic Relationships 7(a). During 2020, were you or any members of your immediate family a director, officer, governing board member, employee, independent contractor, or registered lobbyist of a nonprofit corporation or organization operating in North Carolina primarily for religious, charitable, scientific, literary, public health and safety, or educational purposes? ☒ Yes ☐ No - If “No,” proceed to question 8. ► Do not list State boards or entities. ► Do not list organizations of which you are a mere member. Name of Person Position Name of Nonprofit Corporation or Organization Nature or Purpose of Organization Barbara Christy (Self) Board Member Southern Alamance Family Empowerment Inc. food pantry Rickard L Christy (Spouse) Board Member Celebration Singers choir for disabled 7(b). If the nonprofit corporations or organizations listed above do business with the State of North Carolina or receive State funds, briefly describe the nature of that business, if known or with due diligence could reasonably be known. Name of Nonprofit Corporation or Organization Describe State Business Celebration Singers None or Not Known Southern Alamance Family Empowerment Inc. May receive grants from the State. 8. During 2020, were you or any members of your immediate family a director, officer, or governing board member of any society, organization, or advocacy group with an interest in matters over which your agency or board may have jurisdiction? ☒ Yes ☐ No ☐ Legislator/Judicial Officer - You are not required to complete this question if you are filing because you are a legislator or judicial officer or you are filing as an appointee to one of those offices. ►Do not list organizations of which you are only a member and do not serve in a leadership role. State Bar Council Name of Person Name of Society, Organization, or Advocacy Group Leadership Position (Director, Officer, Board Member) Barbara Christy (Self) Schell Bray PLLC Board Member The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 10 9(a). List the name of each business with which you were associated where you or a member of your immediate family was an employee, director, officer, partner, proprietor, or member or manager as of December 31, 2020. Name of Person Relationship to Filer Name of Company Role of Person Barbara Christy Self Schell Bray PLLC Manager 9(b). If you know that any entity listed in 9(a) above had any material business dealings or business contracts with the State of North Carolina or was regulated by the State as of December 31, 2020, briefly describe that activity. Name of Company or Business Entity Description of Business Activity with the State Schell Bray PLLC Members of law firm are regulated by the State Bar 10. Are you a practicing attorney? ☒ Yes ☐ No ☐ Judicial Officer/State Attorney If “Yes”, check each category of legal representation in which you or the law firm with which you are affiliated has earned legal fees of more than $10,000 during 2020. ☐ Administrative ☐ Admiralty ☒ Corporate ☐ Criminal ☒ Decedent’s Estates ☐ Environmental ☐ Insurance ☐ Labor ☐ Local Government ☒ Real Property ☒ Securities ☒ Tax ☐ Tort litigation (including negligence) ☐ Utilities Regulation ☐ Other category not listed 11. During 2020, were you a licensed professional (other than an attorney) or did you provide consulting services individually or as a member of a professional association for which you charged or were paid over $10,000? ☐ Yes ☒ No Type of Business Nature of Services Rendered The SEI and any attachments, excluding the Confidential Form, are public records. Page 7 of 10 12. Are you or your employer, or any members of your immediate family, or their employers currently:  licensed by the State board or agency with which you are or will be associated or  regulated by the State board or agency with which you are or will be associated or  in a business relationship with the State board or agency with which you are or will be associated? ☒ Yes ☐ No ☐ Legislator/Judicial Officer - You are not required to complete this question if you are filing because you are a legislator or a judicial officer or you are filing as an appointee to one of those offices. State Bar Council Name of Person Name of Employer (if applicable) Type of Relationship (Licensing, Regulatory, Business) Barbara Christy (Self) Schell Bray PLLC Regulatory 13. Have you or a member of your immediate family been registered as a lobbyist or lobbyist principal within the 12 months preceding your filing of this form? ☐ Yes ☒ No Name of Lobbyist Lobbyist’s Principal Date of Registration Registration Expiration Other Disclosures 14. During 2020, after you were appointed, employed, or filed or were nominated as a candidate, did you  receive any “gift(s)” exceeding $200 per quarter from a person or group of persons acting together,  when both you and those person(s) were outside North Carolina,  under circumstances that would lead a reasonable person to conclude the gifts were given for lobbying? To answer Yes, all three conditions must apply ☐ Yes ☒ No ► Do not report gifts given by members of your extended family. ► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.” Date Item Received Name and Address of Donor(s) Describe Item Received Estimated Market Value The SEI and any attachments, excluding the Confidential Form, are public records. Page 8 of 10 15. During 2020, after you were appointed, employed, or filed or were nominated as a candidate, did you  accept a “scholarship” exceeding $200 related to your public position from a person or group of persons acting together,  when those person(s) were outside North Carolina? To answer Yes, both conditions must apply A “scholarship” is a grant-in-aid, either direct or indirect, to attend a conference, meeting, or similar event, including tuition, travel, lodging, meals, and other similar expenses. ☐ Yes ☒ No ☐ Judicial Officer - You are not required to complete this question if you are a judicial officer or you are filing as a judicial officer appointee. ► Do not report gifts you have previously reported on the “Expense Report for Exempted Persons.” ► Legislators are not required to report scholarships paid by a nonpartisan legislative organization of which the legislator or the General Assembly is a member, participant, or affiliate. Date of Scholarship Name and Address of Donor(s) Describe Event Estimated Market Value 16. Have you been appointed or considered for appointment to a covered board by the Governor or another Council of State member? Council of State members are: ► Governor ► Lt. Governor ► Secretary of State ► State Auditor ► State Treasurer ► Superintendent of Public Instruction ► Attorney General ► Commissioner of Agriculture ► Commissioner of Labor ► Commissioner of Insurance ☐ Yes ☒ No If “Yes,” list all contributions you made in 2020 with a cumulative total of more than $1,000 to the Council of State member who appointed you. Do not include contributions from immediate family members. ► Contributions are defined broadly in N.C.G.S. 163-278.6(6) and include “any advance, conveyance, deposit, distribution, transfer of funds, loan, payment, gift, pledge or subscription of money or anything of value whatsoever.” Date Amount Contributed to The SEI and any attachments, excluding the Confidential Form, are public records. Page 9 of 10 17. Are you an appointee or prospective appointee as: a. the head of a principal state department (e.g., cabinet secretary) appointed by the Governor; or b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District Court Judge; or c. a member of any of the following boards:  ABC Commission  Coastal Resources Commission  State Board of Education  State Board of Elections  Division of Employment Security  Environmental Management Commission  Industrial Commission  Human Resources Commission  Rules Review Commission  Board of Transportation  Utilities Commission  Wildlife Resources Commission ☐ Yes ☒ No If “No,” proceed to question 18. d. If so, were you appointed or are you being considered for appointment to that position by a Council of State member? ☐ Yes ☒ No If “No,” proceed to question 18. e. If so, you must indicate whether during 2020 you engaged in any of the following activities with respect to or on behalf of the candidate or campaign committee of the Council of State member who appointed you: i. Collected contributions from multiple contributors, took possession of such multiple contributions, and transferred or delivered those collected contributions to the candidate or committee? ☐ Yes ☐ No ii. Hosted a fundraiser at your residence or place of business? ☐ Yes ☐ No iii. Volunteered for campaign-related activities, including phone banks, event assistance, mailings, canvassing, surveying, or any other activity that advances the campaign of a candidate? ☐ Yes ☐ No 18. Have you ever been convicted of a felony for which you have not received either: (i) a pardon; or (ii) an order of expungement? ☐ Yes ☒ No Offense Date of Conviction County of Conviction State of Conviction 19. Are you aware of any other information that you believe may assist the Ethics Commission in advising you concerning your compliance with the State Government Ethics Act? ☐ Yes ☒ No If yes, please provide that information below. The SEI and any attachments, excluding the Confidential Form, are public records. Page 10 of 10 Affirmation The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments except for the Confidential Form regarding Unemancipated Children are public records. I have read and understand the following statutes: N.C.G.S. § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and subject to disciplinary action under G.S. 138A-45. N.C.G.S. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 02/08/2021 Signature Date Barbara Christy Printed Name
2020 State Bar Council
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This entire document is a public record. STATE ETHICS COMMISSION 2020 STATEMENT OF ECONOMIC INTEREST NO-CHANGE FORM This entire form must be completed to fulfill your ethics filing obligation. FOR STAFF USE ONLY Date Received: Checked for completion ______ Scanned _______ Date______ Entered in DB ____by______ Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Ms. Barbara R Christy Reason for Filing (Complete all that apply.) State Government Job (Specify agency and position.) Board/Commission (List the complete names of all State boards on which you are serving or are being considered.) State Bar Council Judicial Officer (Specify office.) Legislator (Specify House or Senate.) AFFIRMATION The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments except for the Confidential Form Regarding Unemancipated Children public records. I have read and understand the following statutes: N.C.G.S. § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and . . . subject to disciplinary action under G.S. 138A-45. N.C.G.S. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I affirm that I have reviewed my most recently filed 2019 Statement of Economic Interest and that as of December 31, 2019, my responses continue to be true, correct, and complete to the best of my knowledge and belief. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 02/07/2020 Signature Date Barbara R Christy Printed Name Submit signed, original documents only. Do not fax or e-mail this form.
2019 State Bar Council
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This entire document is a public record. STATE ETHICS COMMISSION 2019 STATEMENT OF ECONOMIC INTEREST NO-CHANGE FORM This entire form must be completed to fulfill your ethics filing obligation. FOR STAFF USE ONLY Date Received: Checked for completion ______ Scanned _______ Date______ Entered in DB ____by______ Filer’s Name (First, Middle, Last) Prefix First Name Middle Name Last Name Suffix Ms. Barbara R Christy Reason for Filing (Complete all that apply.) State Government Job (Specify agency and position.) Board/Commission (List the complete names of all State boards on which you are serving or are being considered.) State Bar Council Judicial Officer (Specify office.) Legislator (Specify House or Senate.) AFFIRMATION The information provided in this Statement of Economic Interest and any attachments are true, complete, and accurate to the best of my knowledge and belief. I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments except for the Confidential Form Regarding Unemancipated Children public records. I have read and understand the following statutes: N.C.G.S. § 163A-191. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest . . . shall be guilty of a Class 1 misdemeanor and . . . subject to disciplinary action under G.S. 163A-415. N.C.G.S. § 163A-192. Penalty for false information. A filing person who provides false information on a statement of economic interest . . . knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 163A-415. I affirm that I have reviewed my most recently filed 2018 Statement of Economic Interest and that as of December 31, 2018, my responses continue to be true, correct, and complete to the best of my knowledge and belief. I affirm under penalty of perjury that the foregoing is true and correct. Filed Electronically 03/21/2019 Signature Date Barbara R Christy Printed Name Submit signed, original documents only. Do not fax or e-mail this form.
2018 State Bar Council
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COMPLETE THIS FORM AND MAIL SIGNED, ORIGINAL TO STATE ETHICS COMMISSION, 1324 MAIL SERVICE CENTER, RALEIGH, NC 27699-1324 NORTH CAROLINA STATE BOARD OF ELECTIONS AND ETHICS ENFORCEMENT 2018 STATEMENT OF ECONOMIC INTEREST 919-814-3600 www.ncsbe.gov/Ethics/SEI FILER'S NAME (FIRST, MIDDLE, LAST) Prefix First Name Middle Name Last Name Suffix Ms. Barbara R Christy CURRENT EMPLOYER JOB TITLE Schell Bray PLLC Partner NATURE OR TYPE OF BUSINESS Law Firm REASON FOR FILING (SELECT ALL THAT APPLY) STATE GOVERNMENT JOB (Specify Agency) BOARD/COMMISSION (List complete name of all State boards on which you are serving or are being considered) State Bar Council; JUDICIAL OFFICER (Specify Office) LEGISLATOR (Specify House or Senate) The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 11 A. Do other immediate family members reside in your household? Yes No When used throughout this form, the term Immediate family includes your spouse (unless legally separated). It also includes members of your extended family (your and your spouse’s children, grandchildren, parents, grandparents, and siblings, and the spouses of each of those persons) who reside in your household. List the full name of all adults and emancipated minors in your household. A minor is a child under 18 years old. Minors are emancipated by marriage, enlistment in the US military, or court order for emancipation. FULL NAME OF ADULTS & EMANCIPATED MINORS RELATIONSHIP EMPLOYER JOB TITLE NATURE OF BUSINESS Rickard L. Christy spouse Ray King Builders, Inc. contractor residential construction B. List ONLY the initials of all unemancipated minors in your household below. A minor is a child under 18 years old. Note: You must list the full name of each minor child on the Confidential Form available at the end of this document. INITIALS FOR UNEMANCIPATED CHILDREN RELATIONSHIP EMPLOYER JOB TITLE NATURE OF BUSINESS PROPERTY INTERESTS 1. As of December 31, 2017, did you, your spouse, or members of your immediate family: A. Have an ownership interest in North Carolina real estate (including your residence) with a market value of $10,000 or more? Yes No Owner of Real Estate % Ownership Interest Location by City Location by County Rickard & Barbara Christy 100 Snow Camp Alamance Rick & Barbara Christy and Carl Christy 100 New London Montgomery Rickard & Barbara Christy 100 Charlotte Mecklenburg B. Lease or rent real estate or personal property to or from the State of North Carolina with a market value of $10,000 or more? Yes No Name of Lessor Name of Lessee (Renter) If Real Estate, Location by City & County If Personal Property, Describe The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 11 2. At any time during 2016 or 2017 , did you, your spouse, or members of your immediate family sell to or buy from the State of North Carolina personal property with a market value of $10,000 or more? Yes No Name of Purchaser Name of Seller Type of Property FINANCIAL INTERESTS 3. As of December 31, 2017, did you, your spouse, or members of your immediate family own any of the following financial interests valued at $10,000 or more? LIST EACH COMPANY INDIVIDUALLY A. Stock in a publicly owned company? Yes No Do not list ownership interests in a widely held investment fund (including mutual funds, regulated investment companies, or pension or deferred compensation plans) if: (i) the fund is publicly traded or its assets are widely diversified; and (ii) neither you nor an immediate family member are able to control the assets held in the mutual fund, investment company, or pension or deferred compensation plan. Owner of Interest Full Name of Company (Do not use a ticker symbol) B. Stock Options in a company or business? Yes No Owner of Stock Option Full Name of Company (Do not use a ticker symbol) C. Interests in a non-publicly owned company or business entity (including interests in sole proprietorships, partnerships, limited partnerships, joint ventures, limited liability companies, limited liability partnerships, and closely held corporations)? Yes No If "No", proceed to question 4. Owner of Interest Name of Company or Business Entity Barbara Christy Schell Bray PLLC Rickard Christy Ray King Builders, Inc. The SEI and any attachments, excluding the Confidential Form, are public records. Page 3 of 11 C (1). For each non-publicly owned company or business entity (the “primary company”) identified in question 3.C above, please list the names of any other companies or business entities in which the primary company owns securities or equity interests valued at over $10,000, if known. Non-Publicly Owned Company or Business Entity (the Primary Company) Other Companies in which the Primary Company Owns Security or Equity Interests None or Not Known C (2). If you know that any company or business entity listed in 3.C or 3.C(1) above has any material business dealings or business contracts with the State of North Carolina, or is regulated by the State, provide a brief description of that business activity. Name of Company or Business Entity Description of Business Activity with the State None or Not Known 4. As of December 31, 2017, were you, your spouse, or members of your immediate family the beneficiaries of a vested trust with a value of $10,000 or more that was created, established, or controlled by you? Do not list assets held in blind trusts. See 2017 SEI Helpful Tips for the definition of “Vested Trust” and “Blind Trust.” Yes No Name and Address of Trustee Description of the Trust Your Relationship to the Trust 5. As of December 31, 2017, did you, your spouse, or members of your immediate family have liabilities of $10,000 or more, excluding the mortgage on your primary personal residence? Examples include credit card debts, auto loans, student loans, personal loans and intra-family debt. Yes No Name of Debtor (You, Spouse, Immediate Family Member) Type of Creditor (Commercial Bank, Credit Union, Individual, etc.) Rickard & Barbara Christy commercial bank Rickard & Barbara Christy Credit Union The SEI and any attachments, excluding the Confidential Form, are public records. Page 4 of 11 6. List each source of income (not specific amounts) of more than $5,000 received by you, your spouse, or members of your immediate family during 2017. Include salary, wages, state/local government retirement, professional fees, honoraria, interest, dividends, rental income, business income, and other types of income required to be reported on your State and federal tax returns. Do not include income received from the following sources: Capital gains Federal government retirement Military retirement Social security income/SSDI Recipient of Income Name of Source Type of Business/Industry Type of Income I had no reportable income over $5,000 in 2017. Rickard Christy Ray King Builders construction wages Barbara Christy Schell Bray PLLC Law Firm Partnership K-1 Rickard and Barbara Christy Carl Christy real estate rental income PROFESSIONAL AND CIVIC RELATIONSHIPS 7(a). During 2017, were you, your spouse or members of your immediate family a director, officer, governing board member, employee, independent contractor, or registered lobbyist of a nonprofit corporation or organization operating in the State of North Carolina primarily for religious, charitable, scientific, literary, public health and safety, or educational purposes? Yes No If "No", proceed to question 8. Do not list State boards or entities, or entities created by a political subdivision of the State. Do not list organizations of which you are a mere member. Name of Person His/Her Position Name of Nonprofit Corporation or Organization Nature of Business or Purpose of Organization Rickard Christy Director Celebration Singers choir Barbara Christy Director Southern Alamance Family Empowerment charitable 7(b). If the nonprofit corporations or organizations listed above do business with the State of North Carolina or receive State funds, please provide a brief description of the nature of that business, if known or with which due diligence could reasonably be known. Name of Nonprofit Corporation or Organization Describe State Business or State Funding None or Not Known The SEI and any attachments, excluding the Confidential Form, are public records. Page 5 of 11 Please answer the following question as it pertains to the following board/agency: State Bar Council 8. During 2017, were you, your spouse, or members of your immediate family a director, officer, or governing board member of any society, organization, or advocacy group with an interest in matters over which your agency or board may have jurisdiction? Yes No Legislator/Judicial Officer - You are not required to complete this question if you are filing because you are a legislator or a judicial officer or you are filing as an appointee to those offices. Do not list organizations of which you are only a member (not serving in a leadership role). Name of Person Name of Society, Organization or Advocacy Group Leadership Position (Director, Officer, Board Member) Barbara Christy NC Bar Association member of committee 9(a). List the name of each company or business with which you were associated where you or a member of your immediate family was an employee, director, officer, partner, proprietor, or member or manager as of December 31, 2017. Name of Person Relationship to Filer Name of Company Role of Person No Business Associations Barbara Christy self Schell Bray PLLC partner Rickard Christy spouse Ray King Builders shareholder, employee and director 9(b). If you know that any company or business entity listed in 9(a) above had any material business dealings or business contracts with the State of North Carolina or was regulated by the State as of December 31, 2017, provide a brief description of that business activity. Name of Company or Business Entity Description of Business Activity with the State Not applicable (No entities listed on #9a) No relationship / Not known 10. Are you a practicing attorney? Yes No Judicial Officer/State Attorney If “Yes”, check each category of legal representation in which you or the law firm with which you are affiliated has earned legal fees of more than $10,000 during 2017. Administrative Admiralty Corporate Criminal Decedent’s Estates Environmental Insurance Labor Local Government Real Property Securities Tax Tort litigation (including negligence) Utilities Regulation Other category not listed. The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 11 11. During 2017, were you a licensed professional (other than an attorney) or did you provide consulting services individually or as a member of a professional association for which you charged or were paid over $10,000? Yes No Type of Business Nature of Services Rendered Please answer the following question as it pertains to the following board/agency: State Bar Council 12. Are you or your employer, your spouse or members of your immediate family, or their employer currently: • Licensed by the State board or employing entity with which you are or will be associated or • Regulated by the State board or employing entity with which you are or will be associated or • Have a business relationship with the State board or employing entity with which you are or will be associated? Yes No Legislator/Judicial Officer - You are not required to complete this question if you are filing because you are a legislator or a judicial officer (“judicial officer” is defined in the SEI Helpful Tips) or you are filing as an appointee to those offices. Name of Person Name of Employer (if applicable) Type of Relationship (Licensing, Regulatory, Business) Barbara Christy Schell Bray PLLC Regulatory and Licensing 13. Are you, your spouse, or a member of your immediate family currently registered as a lobbyist or lobbyist principal or were you registered as such within the 12 months preceding your filing of this form? Yes No Name of Lobbyist Lobbyist’s Principal Date of Registration Registration Expiration OTHER DISCLOSURES The SEI and any attachments, excluding the Confidential Form, are public records. Page 7 of 11 14. During any calendar quarter in 2017 (but only the time period after you were appointed, employed or filed or were nominated as a candidate), did you • receive any gift(s) exceeding $200 per quarter from a person or group of persons acting together, and • when both you and those person(s) were outside North Carolina at the time you accepted the gift(s), and • the gift(s) were given under circumstances that would lead a reasonable person to conclude that they were given for lobbying? Yes No Do not report gifts given by members of your extended family. Do not report gifts that have previously been reported by you to the Department of the Secretary of State on the "Expense Report for Exempted Persons." Date Item Received Name and Address of Donor(s) Describe Item Received Estimated Market Value Please answer the following question as it pertains to the following board/agency: State Bar Council 15. During 2017 (but only the time period after you were appointed, employed, or filed or were nominated as a candidate) did you • accepted a “scholarship” exceeding $200 from a person or group of persons acting together and • those person(s) were outside North Carolina and • the scholarship was related to your public position? A “scholarship” is a grant-in-aid, either direct or indirect, to attend a conference, meeting, or similar event, including tuition, travel, lodging, meals, and other similar expenses. Yes No Judicial Officer - You are not required to complete this question if you are a judicial officer or you are filing as a judicial officer appointee. Do not report gifts that have previously been reported by you to the Department of the Secretary of State on the “Expense Report for Exempted Persons.” Legislators are not required to report scholarships paid by a nonpartisan legislative organization of which the legislator or the General Assembly is a member or participant or an affiliate of that organization. Date of Scholarship Name and Address of Donor(s) Describe Event Estimated Market Value The SEI and any attachments, excluding the Confidential Form, are public records. Page 8 of 11 Please answer the following question as it pertains to the following board/agency: State Bar Council 16. Were you appointed or are you being considered for an appointment to a covered board by the Governor or another Council of State member? Council of State members are: • Governor • Lt. Governor • Secretary of State • State Auditor • State Treasurer • Superintendent of Public Instruction • Attorney General • Commissioner of Agriculture • Commissioner of Labor • Commissioner of Insurance Yes No If “Yes”, list all contributions you (NOT immediate family members) made during 2017 with a cumulative total of more than $1,000 to the Governor or other Council of State member who appointed you. Contributions are defined in N.C.G.S. 163-278.6(6) and include, but are not limited to, “any advance, conveyance, deposit, distribution, transfer of funds, loan, payment, gift, pledge or subscription of money or anything of value whatsoever.” Date Amount Contributed to No contribution(s) with a cumulative total of more than $1,000 The SEI and any attachments, excluding the Confidential Form, are public records. Page 9 of 11 Please answer the following question as it pertains to the following board/agency: State Bar Council 17. Are you an appointee or prospective appointee to: a. the head of a principal state department (e.g. cabinet secretary) appointed by the Governor; or b. a North Carolina Supreme Court Justice, Court of Appeals, Superior or District Court Judge; or c. a member of any of the following boards: • ABC Commission • Coastal Resources Commission • State Board of Education • State Board of Elections • Division of Employment Security • Environmental Management Commission • Industrial Commission • Human Resources Commission • Rules Review Commission • Board of Transportation • UNC Board of Governors • Utilities Commission • Wildlife Resources Commission Yes No If "No", proceed to question 18. d. If so, were you appointed or are you being considered for appointment to that public position by a Council of State member? Council of State members are listed in question 16. Yes No If "No", proceed to question 18. e. If so, you must indicate whether during 2017 you (not immediate family members) engaged in any of the following activities with respect to or on behalf of the candidate or campaign committee of the Council of State member who appointed you to your public position: i. Collected contributions from multiple contributors, took possession of such multiple contributions, and transferred or delivered those collected contributions to the candidate or committee? Contributions are defined in question 16. Yes No ii. Hosted a fundraiser at your residence or place of business? Yes No iii. Volunteered for campaign-related activities, which include, but are not limited to, phone banks, event assistance, mailings, canvassing, surveying, or any other activity that advances the campaign of a candidate? Yes No 18. Have you ever been convicted of a felony for which you have not received either: (i) a pardon of innocence; or (ii) an order of expungement regarding that conviction? Yes No Offense Date of Conviction County of Conviction State of Conviction The SEI and any attachments, excluding the Confidential Form, are public records. Page 10 of 11 19. Are you aware of any other information that you believe may assist the State Ethics Commission in advising you concerning your compliance with the State Government Ethics Act? Yes No If yes, please provide such information below. AFFIRMATION I affirm that the information provided in this Statement of Economic Interest and any attachments hereto are true, complete, and accurate to the best of my knowledge and belief. I also certify that I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments or supplements thereto (with the exception of the Confidential Form regarding Unemancipated Children) are public record. I acknowledge that I have read and understand N.C.G.S. 138A-26 regarding concealing or failing to disclose material information and N.C.G.S. 138A-27 regarding providing false information: § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest under this Article shall be guilty of a Class 1 misdemeanor and shall be subject to disciplinary action under G.S. 138A-45. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest as required under this Article knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I Agree. It is my intention that this check box constitutes my electronic signature. By checking this box I certify that the information provided in this Statement of Economic Interest and any attachments hereto are true, complete, and accurate to the best of my knowledge and belief. Filed Electronically 3/26/2018 Signature Date Barbara R Christy Printed Name The SEI and any attachments, excluding the Confidential Form, are public records. Page 11 of 11
2017 State Bar Council
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NORTH CAROLINA STATE ETHICS COMMISSION 2017 STATEMENT OF ECONOMIC INTEREST NO CHANGE FORM FILER'S NAME (FIRST, MIDDLE, LAST) Prefix First Name Middle Name Last Name Suffix Ms. Barbara R Christy REASON FOR FILING (SELECT ALL THAT APPLY) STATE GOVERNMENT JOB (Specify the agency for which you work or are being considered) BOARD/COMMISSION (List complete name of all State boards on which you are serving or are being considered) State Bar Council; JUDICIAL OFFICER (Specify the office you hold) LEGISLATOR (Specify House or Senate) The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 2 AFFIRMATION I affirm that the information provided in this Statement of Economic Interest and any attachments hereto are true, complete, and accurate to the best of my knowledge and belief. I also certify that I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments or supplements thereto (with the exception of the Confidential Form regarding Unemancipated Children) are public record. I acknowledge that I have read and understand N.C.G.S. 138A-26 regarding concealing or failing to disclose material information and N.C.G.S. 138A-27 regarding providing false information: § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest under this Article shall be guilty of a Class 1 misdemeanor and shall be subject to disciplinary action under G.S. 138A-45. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest as required under this Article knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I hereby affirm that I have reviewed my most recently filed 2016 Statement of Economic Interest and that as of December 31, 2016, my responses continue to be true, correct, and complete to the best of my knowledge and belief. I Agree. It is my intention that this check box constitutes my electronic signature. By checking this box I certify that the information provided in this Statement of Economic Interest and any attachments hereto are true, complete, and accurate to the best of my knowledge and belief. Filed Electronically 1/12/2017 Signature Date Barbara R Christy Printed Name The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 2
2016 State Bar Council
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NORTH CAROLINA STATE ETHICS COMMISSION 2016 STATEMENT OF ECONOMIC INTEREST NO CHANGE FORM FILER'S NAME (FIRST, MIDDLE, LAST) Prefix First Name Middle Name Last Name Suffix Ms. Barbara R Christy REASON FOR FILING (SELECT ALL THAT APPLY) STATE GOVERNMENT JOB (Please specify the agency for which you work or are being considered) BOARD/COMMISSION (Please list complete name of all State boards on which you are serving or are being considered) State Bar Council; JUDICIAL OFFICER (Please specify the office you hold) LEGISLATOR (Please specify House or Senate) The SEI and any attachments, excluding the Confidential Form, are public records. Page 1 of 2 AFFIRMATION I affirm that the information provided in this Statement of Economic Interest and any attachments hereto are true, complete, and accurate to the best of my knowledge and belief. I also certify that I have not transferred, and will not transfer, any asset, interest, or property for the purpose of concealing it from disclosure while retaining an equitable interest. I understand that my Statement of Economic Interest and any attachments or supplements thereto (with the exception of the Confidential Form regarding Unemancipated Children) are public record. I acknowledge that I have read and understand N.C.G.S. 138A-26 regarding concealing or failing to disclose material information and N.C.G.S. 138A-27 regarding providing false information: § 138A-26. Concealing or failing to disclose material information. A filing person who knowingly conceals or knowingly fails to disclose information that is required to be disclosed on a statement of economic interest under this Article shall be guilty of a Class 1 misdemeanor and shall be subject to disciplinary action under G.S. 138A-45. § 138A-27. Penalty for false information. A filing person who provides false information on a statement of economic interest as required under this Article knowing that the information is false is guilty of a Class H felony and shall be subject to disciplinary action under G.S. 138A-45. I hereby affirm that I have reviewed my most recently filed 2015 Statement of Economic Interest and that as of December 31, 2015, my responses continue to be true, correct, and complete to the best of my knowledge and belief. I Agree. It is my intention that this check box constitutes my electronic signature. By checking this box I certify that the information provided in this Statement of Economic Interest and any attachments hereto are true, complete, and accurate to the best of my knowledge and belief. Filed Electronically 3/1/2016 Signature Date Barbara R Christy Printed Name The SEI and any attachments, excluding the Confidential Form, are public records. Page 2 of 2
2015 State Bar Council
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Pras NORTH CAROLINA STATE ETHICS COMMISSION a {J 2015 STATEMENT OF ECONOMIC INTEREST | offic comussionustony 919-715-2071 www. ethicscommission.nc.ou0p APR =1 AH 10: 43 L 1 FILER'S NAME (FIRST, MIDDLE, LAST) i [| resthome | widdeName | tasthame [sux | BARBARA RAGLAND Ceris | CURRENT EnpLOYER Scheie GAA] PLLC | ATroancy [MEMBER NATURE OR TYPE OF BUSINESS il me DEO ———_— - Tw Piru REASON FOR FILING (SELECT ALL THAT APPLY) [CJ STATE GOVERNMENT JOB (Please specify the agency for | (Z/BOARD/COMMISSION (Please list complete name of ail ‘which you work or are being considered) State boards on which you are serving or are being. : considered i 1 Wor Caterina TATE max C3 PUDICIAL GFFICER (Nase phat once you ho) | C) EGISLATOR (Pease spect Hovse or Seneca) 11 11 5 other immediate family members resice in your household? z fes Oto Winen used thoughout this form, th term Tmmedlate family Includes your spouse (unless legally separatea). I also Includes members of your extended family (your and your spouse's children, grandchildren, parents, grandparents, and Sings, 3nd the spouses of each of those persone) who reside in your household. ONLY 18T THE INITIALS OF UNEMANCIPATED CHILDREN. However, you MUST submit the childrens ul aes on the Conficential Form valatie at the end of this document. TE i: Minors are emancipated by marriage, enlistment in the US military, or court action for emancipation. DR | one a EMANCIPATED MINORS BUSINESS ee ere The SEI and any attachments, excluding the Confidential Form, are public records. Page 10f10 INITIALS FOR Jos TITLE UNEMANCIPATED CHILDREN - EE PROPERTY INTERESTS 1. As of December 31, 2014, did you, your spouse, or members of your mmediate family: A. Have an ownership interes i North Carolin real estae (including your residence) with a market value of $10,000 or mora? res Ono |__owner of reat estate | ou Ownership toterest | Location by city | Location by county _| ice + Gaaras Cutinry | 1007 Acari Rick + Bins Cass, Cunt oTre ECE BRE B. Lease or rent real estate or personal property.to or from the State of North Carolina with a market value of $10,000 of more? Qves tho > = Name of Lessce | If Real Estate, Location | If Personal Property, (Renter) by City & County Describe 2. At any time during 2013 or 2014, did you, your spouse, or embers of your immediate family sell to or buy from the. State of North Carolina personal property with a market value of $10,000 or more? Oves fio ors | - The SEX and any attachments, excluding the Confidential Form, are public records. Page 20f10 FINANCIAL INTERESTS 3. As of December 1. 2014, G0 You, your 5poUse, 0 mermbes of your Immediate family own any of th following financial interests valued at $10,000 or more? a A. Stock in 8 publicly owned company? Han g Ove fe feria ay : 00 ot list ownership. interests: a widely held ‘investment fund (including mutual furids, regulated. investment companies, or pension or deferred compensation lars if: (1) the fund is publicly traded or its assets are wily diversified: and (i) nether you nor an Immediate family member are able to control the assets held i the mutual fund, Investment company, or pension or deferred compensation plan. ci eet Full Name of Company (Do not use a ticker symbol) "5. Stock Options in a company or business? a Ove dv RACE 3 ‘Owner of Stock Option Full Name of Company (Do not use a ticker symbol) C. Interests in 2 non-public ained company or business entity (including interests in sole proprietorshins, oe Partnerships, limited partnerships, oint ventures, imited labilty cormpanics, Imited Iabilty partnerships, end Gosely held corporations)? Si hives Clo = Iho’, proceed to question , Si RAS Owner of Interest Name of Company or Business Entity Bangras Curis, ScreLe Bad PLLC Ricunt L. Cakisry Ki< RING Buichers INC The SEI and any attachments, excluding the Confidential Form, are public records. Page 30110 (1). For each non-public owned company of business Sn (Ehe “primary company”) identified in question 3.C +... 3bove, lease It the names of any other companies or business ence In which the primary company owns. Secures or equity Interests valued at over $10,000, known: Non-Publicy Owned Company or Business Entity | _ Other Companies in which the Primary Company (the Primary Company) ‘Owns Security or Equity Interests None or Not Known C2). 1 you know tha any company or business entity sted In 3.C or 3.C(1) above has ony material business Gcalings of business contracts ith the State of North Caroling, or is reguiated by the State, provide a brief Gescription of tht business activity. ‘Name of Company or Business Entity Description of Business Activity with the State None or Not Known Retard Br ETE, Seni Brn Puc [SR PADRAIG Yaw $I «ire [74 as of December 31, 2014, were you, your spouse, or members of your immediate family the beneficiaries of a vested rust wi 3 va of $10,000 or mare that wes created, established, or controlled by. you? Do not lst asses hed in blind trust. Se 2015 SEL Helpful Ts for the defintian of “Vested Trust” and “Bind Trust” Dives vo . ‘Name and Address of Trustee Description of the Trust Your Relationship to the Trust 5. As of December 31, 2013, 010 you; your spouse, or members of your immedale family have liabilities of $10,000 or Tore, excluding the mortgage. an Your primary personal residence? Examples Include credit card: debts, auto loans, Shudent loans, person 16ans and ntro- family debt. ales tite ‘Name of Debtor (You, Spouse, Immediate Family | Type of Creditor (Commercial Bank, Credit Union, Viember) Indvidaay ete) Riceann « parsons Curis) Commence ise Bianic The SE and any attachments, excluding the Confidential Form, are public records. Page of 10 6. List each source of income (not specific amounts) of more than $5,000 received by you, your spouse, or members of yor meat fal uring 2013. Ince. ar, Wooes, STté/ocl government Tebremant, praEsHoral fc, Romero, interes, idence, entl income, Dusinees come, 5nd the pe of Income Teaured 1 bE reported on your Stn and sera ev ; bo nat incude income received from the following sources: » capital gains > Federal government retireinant » Military retirement » Social security income/SSDL : Recipient o Income Name of Source Tet Type of Income B\Eimess/tndustry (CJ1 had no reportable income over $5,000 in 2014. Ricients Cans Kane Bots wats L iid Bhai, Sonim | cone cons I PROFESSIONAL AND CIVIC RELATIONSHIPS 700). Dung 2014, were you, your spouse or members of your [dale ATi a director, officer, governing bond meiber, eplores, Injebendent controctor, or regsered obeys of non Eorporaton 5 SrgSEaton operat in State of Narn Caran primary fo refious, chamatie, Scenic, eran, poste. neon ale af Sasentonat Purposes? “ 5 Jes Lio + ite", proceed to ueston 5 > Do ot st State Bord or nttis o entities created by Akal sbdviion of ie Ste. > Do nt Int organizations of which you are a more member: Name of Person Wis/Mer Position Name of Nonprofit Nature of Business or Corporation or Grganization | purpose of Organisation Ricans Ging) | Dia crn | caonsrmon simons| caon | bienner Cousin Bet PR ie — Ee a 705) 11 the nonprofit arporatons or argaizations ied above Go bushels WT he Sake 6 Nah Carols o recive Site uns, less Drove» De descnpton of ie nate of tek bushes J How of wih Wich ue gence coud reasons be know Describe Sate Business or State Funding [J None or Not Known Blew Chul Us Lica DRAMA SOC REUPSNIT VC STATE (RANTS The SEI and any attachments, excluding the Confidential Form, re public records. Page sor 10 5 During 7014, Were you, your spouse, or members of your [nedate family a deer, officers oF governing board member of any society, organization, or Advocacy group with an Interest in matters over which your agency or board may. have jurisdiction” : Dives fo] Leoiltor/ucical Officer - You are not required to compiece this question f you are fing because: you are a egisiator or a udical office or yo are ling as an appointee to those ofices 00 not lst organizations of which you are only a member (nat serving in a leadership role). Name of Society, Organization Leadership Position or Advocacy Group (Director, Officer, Board Member) 5(a). List the name of each company or Business With Which you were associated where you or a member of your immediate family wos an employee, director, office, partner, proprietor, or member o manager as of December 31, 2014. Name of person Relationship toFiler | Name of Company | Role of Person CJM Business Associations = — SEE, Bien Rand Crise Siovss RA Kine Aides SAE Lie CRED reer Casson ETI (0). 11 you know that ny company or business entity Isted In 9(a) above had any material business dealings o business Contacts with the State of North Caroling or was regulated by the State as of Decamber 31, 2014, provide a brief Gescripton of that business activity. Name of Company or Business Entity Description of Business Activity with the State CIN applicable (No entities sted on #92) LJ No relationship / Not known. REGO fi STATE sent 6a ree 10. Are you a practicing attorney? PR a es. E10o. { sodicl Oincer/State Attorney 1 *Yes?, check cach category of egal representation in which you or the Jaw firm with which you are affliated has earned egal fees of more than $10,000 during 2014. 0 Administrative 0 Admiralty Corporate Criminal © | Abecedents Estates [Environmental [linsurance [tabor Local Government Real property Securities Tax (Tort tigation (including 0) tities Regulation J ther category not sted. negligence) The SEI and any attachments, excluding the Confidential Form, are public records. Page 6 of 10 11" During 2014, were you a licensed professional (other than an_ attorney). or did you. provide consulting services individually or 25 5 member of professional association fo which you charged or were paid over $10,007 ves fo Type of Business Nature of Services Rendered 12. Are you or your employer, your spouse or members of your immediate family, or their employer currently: + Licensed by the State board or employing entity with which you are or wil be associated or 7 + Regulated by the State board or employing entity with which you are or wil be assaciated or + Have a business relationship with the State board or employing entity with which you are o willbe associated? Yes [INo [J Legisiator/Jucicial Officer - You are not required to compete tis question if you are fing because you are a legislator or a judicial officer (judicial officer i defined i the SEI Helpful Tip) or You are fing a5 an appointee to those ofices. Name of Employer Type of Relationship (it applicable) (Licensing, Regulatory, Business) | baRBard Crakisry Susie B Pree License) © REECLATD I 13. Ave you, your spouse or a member of your Imiiadite family €urrendy registered as a lobbyist or 1obbyist principal or Were you registered as such within the 12 months breeding vour fing of this farm, Ove ze Lobbyists Principal Date of Registration Registration Expiration OTHER DISCLOSURES 14. During any calendar quartér in 2014 (but only the time period after you were appointed, employed. or filed or were nominated a3 3 candidate), 4d you : + receive any “gif(s)” exceeding $200 per quarter fam a person or grap of persons acting together, and + when Both you and those person(s) were outside North Carolin at the tme you accepted the gif), and + the git) were given under circumstances that would lead a reasonable person to conclude that they vicre given for Iobbying? : 50 mot report gts given by members of your extended family ; D0 not report gifts that have previously been reported by“you to the Department of the Secretary of State on the “Expense Report for Exempted persons. Name and Address of Donor(s) | _Describe Item Received | Estimated Market Value | ‘The SEI and any attachments, excluding the Confidential Form, are public records. Page 7 of 10 15. During 2012 (but only th Kime period after you were appointed, employed, or fled or were nominated as a candidate) aid you + accept a “scholarship” exceeding $200 from o person of group of persons acting together and + those person(s) were outside North Carolina and R + the scholars was relted o-your public postion? A “scholarship” is a grant-in-aid to attend a conference, meeting, or similar event. [Yes {Zo [1] dudicial Officer - You are io required to complete this question if you are a judicial officer or you are. ling as jucica] officer appointee. » 00 not report ifs that have previously been reported by you 0 the Department of the Secretary of State an the “Expense Report for Exempted persons.” > Legisators are not requirad to report scholarships paid by a nonpartisan legislative organization of which the legislator or the General Assembly. a member or participant or an affate of hat organization. Date of Name and Adress of Donor(s) Scholarship 16. Were you appainted or are you being considered for an appointment to a covered board by the Governor or another Cail of State membar? Council of State members are > Governor > L2. Governor > Secretaiy of State » State Auditor > State Treasurer > Superintendent of Publ Instruction > Attomey General > Commissioner of Agriculture > Commissioner of Labor > Commissioner of Insurance Clves No. 10 “Yes, list all contributions you (NOT immaiate family members) made during 2014 with a cumulative total | * of more than $1,000 to the Governor or other Council of State member who appointed You. | | Contributions are defined in N.C.G.S. 163-278.6(6) ond include, but are not limited t, "any advance, conveyance, | depost, distribution, transter of funds, oan, payment, if, ledge or subscription of money or ann of Value whalsotver,” Tm] pT 57 No contrbution(s) with a cumulative total of more than $1,000 The SEX and any attachments, excluding the Confidential Form, are public records. Page 8 of 10 17. Are you an appointee or prospective appointee to: a a the head of principal state department (6.9. cabinet secretary) appointed by te Governers or b. 2 North Carolina Supreme Court Justice, Court of Appest, Superior o District Court Sudger o . 3 member of any of th following boards: + A&C Commission ~ Coastal Resources Commission ; + State Boara of Education Oves Zino * State Board of lecions © Division of Employment Security No", proceed to © Endronmenta Management Commision Question 15. Indusiral Commission Human Resources Commission ~ Rules Review Commission * Board of Transportation © URC Board of Governrs * Utites Commission © Widite Resources Commission a 1 50, were you appointed or are you beng considered for sppoinUment to hat public | Yes (No Postion by 5 Counc of State member? Coun of Sate members are Sted 1 Er wood 42 Gestion 16. ls, e150, you must indicate whether during 2014 yau (no immediate family members) engaged in any of th folloing aciviies Wh respect to or on behalf of the Condiaots of campaign commises ofthe Cound f Sate member whe appointed Vou to your public postion [Yes [INo 1. Collected contributions fom multiple contributors, took posession of such mule Contbuons, and ransiere o delvered those callcted contributions the candidate o committees Contributions are defined in Question 16. Porto tev pu tion por Fora [ove Toe] ili. Volunteered for campaign-related activities, which include, but are not limited to, Bone banks, event asSstance, malings, canvassing, surveying, or any other | (Yes CINo Scivty ha advances the campaign of s candidate? 16. Hove you eve been Convicted of a felony for whch you have not received ethers (1) a pardon of mnocence; or (1) an order of exaungement regarding that conviction? Ores eff [ oWewe | Potwot conviction | County of Conviction | _ State of Conviction 19. Are you aware of any other information that you believe may assist the State Ethics Commission in advising you Concerming your comphance withthe State Government EINCS AL Ces Ho. If yes, please provide such information below. The SEX and any attachments, excluding the Confidential Form, are public records. Page of 10 AFFIRMATION 3 afi thatthe information provided in his Statement of Economic Interest ad any atachinents hereto ae tue complet, and accurate tothe best of my Knowledge snd belie. Yao certify ha ha not transferred, and will not transfer, any ase, interes, o property fo the purpose of concealing it from disclosure while retaining an equiabl interest. understand hat my Statement of Economic Interest and any attachments o supplements thereto (with the exception of the Conidenial Form reganing Unemancipeed Children) see public cord. acknowledge hat 1 have read and understand N.C.G.S. 138A26 rgarding concealing or failing o disclose miter information and N.C.G.S 138A regarding providing fs information: § 1384.26. Concenlng or filing to disclose rateil information. A filing person who Knowingly conceas or knowingly fi to disclose information hat is required tobe disclosed na Statement of economic ners! under his Arle shall be guilty of a Class | misdemeanor and shall be subject so disciplinary ation under G.5. 138A45. § 138.27. Penahy for fuse information. A fling person who provides false information on statement of sono terest a required under tis Article Knowing atthe information i ols s guilty of a Class H felony and shll be subject fo disciplinary action under GS. 138385. Zit agree Satsaes RR. Curisry CL — 2 Forabaw. A. Chr S-if- 5 Signature ow ‘Submit SIGNED, ORIGINAL documents only. : Do not fax or email this form. The SEX and any attachments, excluding the Confidential Form, are public records. Page 10 of 10